联合蒸汽清洗用于达芬奇机器人手术机械臂的效果对照及损坏研究  

Effect and damage of combined steam cleaning for da Vinci robotic surgical manipulator:a comparative study

作　　者：刘霞[1] 刘慰[1] 周芳芳[1] 周春燕 陈虹[2] LIU Xia;LIU Wei;ZHOU Fang-fang;ZHOU Chun-yan;CHEN Hong(Dept.of Central Sterile Supply,Northern Jiangsu People’s Hospital,Yangzhou 225000,China;Dept.of Nursing Administration,Northern Jiangsu People’s Hospital,Yangzhou 225000,China)

机构地区：[1]江苏省苏北人民医院消毒供应中心,江苏扬州225000 [2]江苏省苏北人民医院护理部,江苏扬州225000

出　　处：《护理学报》2023年第24期57-60,共4页Journal of Nursing（China）

摘　　要：目的 分析联合蒸汽清洗对达芬奇机器人手术机械臂清洗质量、返洗率和损坏率的影响。方法 将2021年9月—2022年9月被污染的达芬奇机器人手术机械臂2 400件,随机分为实验组和对照组,各1 200件。对照组采用纯手工清洗,具体流程为:流动水冲洗→水枪冲洗→酶洗→超声清洗→漂洗→干燥→消毒。实验组在超声清洗和漂洗之间增加蒸汽清洗,其他程序不变。使用目测和ATP生物荧光测试仪(包括表面采样检测和水质采样检测)观察2组的清洗合格率,并统计由清洗处理不当导致的达芬奇机器人手术机械臂的损坏率。结果 目测和ATP生物荧光检测结果显示,实验组的清洗合格率优于对照组(P<0.05);实验组机械臂损坏率低于对照组(P<0.05)。结论 手工清洗联合蒸汽清洗达芬奇手术机械臂,降低了返洗率和损坏率,提高了清洗质量。Objective To analyze the influence of combined steam cleaning on the cleaning quality,backwashing rate and damage rate of da Vinci robotic surgical manipulator.Methods A total of 2,400 contaminated da Vinci robotic surgical manipulators from September 2021 to September 2022 were randomly divided into experimental group and control group,with 1200 manipulators in each.The control group was cleaned by hand,and the specific process was as follows:flowing water washing→water gun washing→enzyme washing→ultrasonic cleaning→rinsing→drying→disinfection.In the experimental group,steam cleaning was added between ultrasonic cleaning and rinsing,and other procedures remained unchanged.Visual inspection and ATP bioluminescence test(including surface sampling detection and water quality sampling detection)were used to observe the cleaning qualification rate of the two groups,and the damage rate of da Vinci robotic surgical manipulator caused by improper cleaning treatment was calculated.Results Visual inspection and ATP bioluminescence test showed that the cleaning qualification rate of the experimental group was higher than that of the control group(P<0.05).The damage rate of manipulator in the experimental group was lower than that in control group(P<0.05).Conclusion Manual cleaning combined with steam cleaning can lower the backwashing rate and damage rate,and improve the cleaning quality.

关 键 词：蒸汽清洗 达芬奇机器人手术机械臂 清洗质量 返洗率 损坏率 

分 类 号：R472.1[医药卫生—护理学]